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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Stronger relation between impairment and manual capacity in the non-dominant hand than the dominant hand in congenital hand differences; Implications for surgical and therapeutic interventions
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Stronger relation between impairment and manual capacity in the non-dominant hand than the dominant hand in congenital hand differences; Implications for surgical and therapeutic interventions

机译：在先天性手部差异中，非优势手的损伤与体力之间的关系要比优势手强。对手术和治疗干预的意义

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摘要

Objectives To evaluate manual activity capacity (i.e. activity capacity to perform hand activities) and its relation with body functions of the hand and forearm in children with congenital hand differences (CHD) Methods We assessed 10-14 year-old children with CHD (N = 106) using a functional handgrips test. Measurements of body functions included joint mobility and muscle strength. Patient characteristics were hand dominance and severity. Results We found a stronger relation between body functions and manual activity capacity in non-dominant hands than dominant hands. Dominant hands scored significantly higher on manual activity capacity than nondominant hands that were similarly impaired at body functions level. Severity of the CHD and body functions had only small effects on manual activity capacity. Conclusion The relation between body functions and manual activity capacity is stronger in non-dominant hands than dominant hands, indicating that improvement in body functions lead to larger changes in manual activity capacity in the non-dominant hand. This may suggest that in bilaterally-affected children surgery should be done at the non-dominant hand first since this hand would benefit most from surgery-induced body functions improvement.
机译：目的评估先天性手部差异（CHD）患儿的体力活动能力（即进行手部活动的能力）及其与手和前臂身体功能的关系。方法我们评估了10-14岁的CHD儿童（N = 106）使用功能性手柄测试。身体功能的测量包括关节活动度和肌肉强度。患者特征为手掌优势和严重程度。结果我们发现非显性手的身体功能与体力活动能力之间的关系比显性手更强。优势手的手动活动能力得分明显高于在身体功能水平上同样受损的优势手。冠心病的严重程度和身体功能对体力活动能力的影响很小。结论非显性手的身体功能与体力活动能力之间的关系比显性手强，这表明体功能的改善导致非显性手的体力活动能力发生较大变化。这可能表明，在双侧患儿中，应该首先在非优势手上进行手术，因为这只手将从手术引起的身体功能改善中受益最多。

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